Organization
A IN HOME BIRTH CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARIAN VANITA LOTT RN, CNM (PRESIDENT)
(530) 477-7333
Entity
Organization
Contact information
Practice address
10476 WALKER DR, GRASS VALLEY, CA 95945-6021
(530) 477-7333
(530) 477-7440
Mailing address
10476 WALKER DR, GRASS VALLEY, CA 95945-6021
(530) 477-7333
(530) 477-7440
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
Primary
NMW1275
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NMW012750
—
CA
Enumeration date
12/22/2006
Last updated
07/12/2007
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